Bronchiolitis Obliterans – Board-Style Questions

What this deck covers

Bronchiolitis Obliterans in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. Seven months on, still breathless
2. The recovery that stalled
3. Breathing in, breathing out on the scan
4. Numbers after the blue inhaler
5. One dark lung, one normal
6. Before the label sticks
7. A piece of lung
8. Fever, red eyes, then a ventilator
9. Protecting the little brother
10. An antibiotic with no infection
11. Early and still active
12. Is the inhaler earning its place
13. Can the scars be cleared
14. Ten months after the graft
15. Blowing tests when well
16. Three medicines together
17. Three years after new lungs
18. The years ahead

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Multiple trigger wheeze needing a daily preventer, Wheezing again with each new cold this winter, A restrictive defect from a stiff chest wall, Swyer-James-MacLeod syndrome as a late sequel, A surgical lung biopsy to confirm the scarring, Yes, a surgical biopsy is required in every case, The five days of high fever before the cough began, Monthly immunoglobulin infusions through winter, Its anti-inflammatory action in the small airways, High-dose oral prednisolone daily for a year, A defined trial, kept only if there is clear benefit, Yes, a year of high-dose inhaled steroids clears it, Bronchiolitis obliterans syndrome, To detect asthma triggered by the conditioning drugs.

Clinical pearls from this deck

• A child who never recovers from a severe adenoviral pneumonia has bronchiolitis obliterans until proved otherwise.
• Bronchiolitis that never got better needs a diagnosis, not more time.
• The expiratory images are what turn a patchy lung into a diagnosis.
• In BO the bronchodilator barely moves the FEV1: the narrowing is scar.
• A small dark lung that traps air after childhood pneumonia is Swyer-James-MacLeod.
• Name bronchiolitis obliterans only after the mimics have been looked for.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all Respiratory case decks · pediatric reference values.